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NPI Code Detail

MEDICARE: DR. PAUL SHERMAN LUX MD

MEDICARE: DR. PAUL SHERMAN LUX MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianR1K26MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326041997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL SHERMAN LUX MD
Provider Business Mailing Address
First Line : 660 S EUCLID AVE
Second Line : CB 8233
City : SAINT LOUIS
State : MO
Zip : 63110-1010
Country : US
Telephone Number : 314-996-8080
Fax Number : 314-996-8708
Provider Business Practice Location Address
First Line : 12634 OLIVE BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-6337
Country : US
Telephone Number : 314-996-8104
Fax Number : 314-996-8708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 12/17/2019

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